Individual
SHANNON SOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4623 CHAPMAN RD, STOCKBRIDGE, MI 49285-9474
(517) 610-6308
Mailing address
4623 CHAPMAN RD, STOCKBRIDGE, MI 49285-9474
(517) 610-6308
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4303089398
MI
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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